Periodontist Amarik Singh, DDS

Schedule your appointment: 630-424-9404

Dental Patient Forms
and Instructions

We’ll need the information on the forms below prior to getting started. Please download the forms, complete them and either fax your forms to 630-424-8303 or bring them with you to your first appointment. If you are not able to complete it prior to your first visit, please arrive 10 minutes before your scheduled appointment.

The forms are PDFs and require you have Adobe Reader to open them. (Nearly all computers have this. If you cannot open the form, you can download it here: Adobe Reader.)

New Patient Form

(PDF)
Click To Download ›

HIPAA Consent Form

(Microsoft Word)
Click To Download ›

New Patient Health History Form

(PDF)
Click To Download ›

Privacy Practices

(PDF)
Click To Download ›

DR. SINGH IS ACCEPTING NEW PATIENTS

Schedule Your Free Consultation

Click To Schedule ›
630-424-9404
[email protected]
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